Director, Quality Management-UPMC York Memorial

UPMC; York (York County); On-site; USD 78,000 - 117,000; Full time

Job summary

UPMC is seeking a high-level quality leadership professional to oversee patient safety, quality reporting, and regulatory compliance across departments in Pennsylvania. You will drive process improvements, manage the Peer Review and EOC committees, and ensure readiness for Joint Commission and CMS surveys.

The role requires a Master's degree and extensive healthcare quality and supervisory experience, with familiarity in PDSA and DMAIC methodologies.

Qualifications

• Master's degree required in a healthcare-related field.
• 7–10 years healthcare experience required with 5–7 years of supervisor experience preferred.
• Certification in related area preferred.
• Familiarity with PDSA and DMAIC processes.

Responsibilities

• Serves as resource for healthcare acquired conditions, readmissions and patient safety indicators.
• Analyzes events to identify opportunities for improvement and maintains peer review processes.
• Develops and implements the individual quality plan aligning with strategic goals.
• Drives performance improvement measures with departments to implement projects.
• Supervises quality reporting related to reimbursement and quality ratings.
• Serves as the Patient Safety Officer and promotes a culture of safety.
• Ensures regulatory guidelines are met (Joint Commission, DoH, CMS).
• Plans surveys, audits and improvement activities.
• Chairs EOC committees and maintains survey readiness.
• Develops and maintains the Patient Safety Plan and analyzes event reports.
• Coordinates patient experience reporting and drives improvement actions.
• Accountable for the Quality Department budget; revenue and cost management.

Skills

Quality management

Regulatory compliance

Process improvement

Leadership

Data analysis

Education

Master's degree

RN licensure in PA

Job description

The salary range for this position is $56.66-$85/hr based on experience.

Responsibilities:

• Serves as a resource and support for healthcare acquired conditions, readmissions and patient safety indicators. Analyzes the events to identify opportunities for improvement. Organizes, reports and maintains the peer review process.

• Develops and implements the individual quality plan and ensures that this plan integrates and supports the strategic plan, working collaboratively with the Quality Department.

• Drives performance improvement measures and collaborates with departments to develop and implement performance improvement projects. Develops and implements creative solutions to address events.

• Supervises and maintains all quality reporting related to reimbursement and quality ratings.

• Serves as the Patient Safety Officer. Maintains and cultivates a robust culture of safety and develops and conducts safety related activities.

• Ensures that regulatory guidelines are met regarding Joint Commission standards, Department of Health regulations and CMS Conditions of Participation. Plans and coordinates survey activities, audits and improvement activities.

• Chairs entity level Environment of Care (EOC) Committee, co-chairs system level EOC Committee and is responsible for continued survey readiness related to EOC.

• Develops and maintains the Patient Safety Plan. Analyzes event reports for patterns and trends to drive change and improvement in the patient safety program.

• Coordinates patient experience reporting by analyzing data and driving implementation of improvement plans.

• Accountable for the budget of the Quality Department; has direct responsibility for producing revenue and/or managing costs.

Master's Degree required7-10 years Healthcare Related Experience required, with 5-7 years Supervisor Experience preferred. Certification in related area of expertise preferred. Quality management experience preferred. Familiarity with PDSA (Plan-Do-Study-Act) and DMAIC (Define-Measure-Analyze-Improve-Control) processes.

Licensure, Certifications, and Clearances:

Registered Nurse licensure in the Commonwealth of Pennsylvania Required

UPMC is an Equal Opportunity Employer/Disability/Veteran